کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3178583 1200393 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reducing the delay for carotid endarterectomy in South-East Scotland
ترجمه فارسی عنوان
کاهش تاخیر در انتروکتکتومی کاروتید در اسکاتلند جنوب شرقی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

Background and purposeTo establish whether the Scottish Intercollegiate Guidelines Network guidelines (SIGN 2008) publication has improved the delay from neurological event to carotid endarterectomy (CEA). This ideally should be performed within two weeks of a patient experiencing their first neurological event.MethodsData for 255 consecutive, symptomatic CEA procedures carried out under local anaesthetic, between March 2007 and June 2010 at The Edinburgh Vascular Surgery Service (EVSS) were extracted from the National Vascular Database. The mean, median and range was calculated for days from symptoms to vascular referral, vascular assessment to surgery and symptoms to surgery, subdivided according to four hospitals referring to the EVSS and whether CEA was performed pre- (n = 128) or post-publication of guidelines (n = 127).Main findingsMedian delays from symptoms to vascular referral, vascular assessment to surgery and symptoms to surgery have decreased in all hospitals since the publication of the guidelines. The proportion of patients undergoing CEA within two weeks after their initial event increased from 25% pre-guidelines to 40.2% post-guidelines (p = 0.04). The proportion of patients undergoing CEA within four weeks of their event also improved from 57% to 74%. Patient presentation (41.8%), late referrals (29.9%) and lack of resources (22.4%) were the main causes for delay.ConclusionsGuidelines have improved service provision for CEA at the EVSS. However, more work is required to address the subgroup of patients whose surgery was delayed as a result of late presentation, late referral and lack of surgical resources.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Surgeon - Volume 12, Issue 1, February 2014, Pages 11–16
نویسندگان
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